Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $4,854.00 / $11,071.55	Facility		$594.00	$4,854.00	$11,071.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,660.16 / $4,691.17 / $10,629.00	Facility	50	$3,660.16	$4,691.17	$10,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.10 / $453.16 / $974.09	Professional		$355.10	$453.16	$974.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $594.75 / $594.75 / $630.63	Professional		$594.75	$594.75	$630.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $6,066.00 / $8,811.00	Facility		$2,800.00	$6,066.00	$8,811.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $516.27 / $777.15 / $936.34	Professional		$516.27	$777.15	$936.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.66 / $560.11 / $971.87	Professional		$410.66	$560.11	$971.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $628.91 / $839.80 / $839.80	Professional		$628.91	$839.80	$839.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,429.07 / $8,345.29 / $15,618.48	Facility		$3,429.07	$8,345.29	$15,618.48
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,321.89 / $6,444.93 / $13,788.88	Facility	50	$4,321.89	$6,444.93	$13,788.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $567.54 / $678.48	Professional		$397.84	$567.54	$678.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $666.52 / $4,603.00 / $10,351.59	Facility		$666.52	$4,603.00	$10,351.59
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,688.44 / $5,684.00 / $11,135.43	Facility	50	$3,688.44	$5,684.00	$11,135.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $364.22 / $552.14 / $1,145.38	Professional		$364.22	$552.14	$1,145.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.92 / $647.08 / $1,086.54	Professional		$434.92	$647.08	$1,086.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $415.73 / $584.46 / $971.87	Professional		$415.73	$584.46	$971.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $377.73 / $408.60 / $505.66	Facility		$377.73	$408.60	$505.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $394.08 / $442.09 / $539.80	Professional		$394.08	$442.09	$539.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.38 / $563.78 / $1,069.33	Professional		$392.38	$563.78	$1,069.33